702 73RD ST SW 2019-08-13 - Laserfiche WebLink

ism PERMIT APPLICATION imil BUILDING / MECHANICAL I PLUMBING /SIGN /SPRINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue`or`BI2i k hk O>riI Ple se) r, PR,NECTuSIT yINPO 11lAAtIOw „., ,,...x,. ,� < , -47 t. . . ,. .. .,,,. . JOROJECT SITE ADDRESS: 7©2... 737J1, S vf„ ,°>f-PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) IN MA *OWNER NAME: Co 4)5 Z,Q 7)1W7 TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET -70., 7 3 j---j, 5-i- 5 w gl//lam IO CITY ( 1-1.../.Cf STATE ZIP F-0-O OWNER PHONE: DOWNER EMAIL: CONTRACTOR NAME:okANI-6/ ,I//OS (0( CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: B Existing Use of Building: Contract Price of Work:$ ff4c9- D e Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: X W M-tiv 11 ht -Pow loon% of illtqkev IT ho'vCe ' ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PER ki APPLIC#i0 I, ,..,,, PLUMBING PERMIT APPLICATIOI+1,. . s.;. Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil 1 Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER t 00:070:4010WOSIEMIERE Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I No.of Heads. ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply wits e State Con ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#p 0 �O�Vii' \.6A, 0 uthorized Agent Signature Date (Revised 4/15/2019)